Coronavirus Disease 2019 With Acute Respiratory Distress Syndrome Mimicking Heart Failure Exacerbation: Time to Rethink

A 67-year-old man with a prior heart failure presented with fever, cough and dyspnea for 4 days. Physical examination showed bilateral rales on the lung exam, yet no lower extremity edema. The combination of symptoms, elevated inflammatory markers, normal baseline pro-B-type natriuretic peptide, PaO...

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Autores principales: Sattar, Yasar, Connerney, Michael, Ullah, Waqas, Rauf, Hiba, Mamtani, Sahil, Luddington, Stephen, Alraies, M. Chadi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7239589/
https://www.ncbi.nlm.nih.gov/pubmed/32494330
http://dx.doi.org/10.14740/cr1074
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author Sattar, Yasar
Connerney, Michael
Ullah, Waqas
Rauf, Hiba
Mamtani, Sahil
Luddington, Stephen
Alraies, M. Chadi
author_facet Sattar, Yasar
Connerney, Michael
Ullah, Waqas
Rauf, Hiba
Mamtani, Sahil
Luddington, Stephen
Alraies, M. Chadi
author_sort Sattar, Yasar
collection PubMed
description A 67-year-old man with a prior heart failure presented with fever, cough and dyspnea for 4 days. Physical examination showed bilateral rales on the lung exam, yet no lower extremity edema. The combination of symptoms, elevated inflammatory markers, normal baseline pro-B-type natriuretic peptide, PaO(2)/FiO(2) < 300 and positive swab suggested coronavirus disease 2019 (COVID-19) with acute respiratory distress syndrome (ARDS) rather than heart failure exacerbation. We discuss the challenges in management of ARDS in COVID-19 patients that may initially mimic as acute exacerbation of heart failure.
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spelling pubmed-72395892020-06-02 Coronavirus Disease 2019 With Acute Respiratory Distress Syndrome Mimicking Heart Failure Exacerbation: Time to Rethink Sattar, Yasar Connerney, Michael Ullah, Waqas Rauf, Hiba Mamtani, Sahil Luddington, Stephen Alraies, M. Chadi Cardiol Res Case Report A 67-year-old man with a prior heart failure presented with fever, cough and dyspnea for 4 days. Physical examination showed bilateral rales on the lung exam, yet no lower extremity edema. The combination of symptoms, elevated inflammatory markers, normal baseline pro-B-type natriuretic peptide, PaO(2)/FiO(2) < 300 and positive swab suggested coronavirus disease 2019 (COVID-19) with acute respiratory distress syndrome (ARDS) rather than heart failure exacerbation. We discuss the challenges in management of ARDS in COVID-19 patients that may initially mimic as acute exacerbation of heart failure. Elmer Press 2020-06 2020-05-03 /pmc/articles/PMC7239589/ /pubmed/32494330 http://dx.doi.org/10.14740/cr1074 Text en Copyright 2020, Sattar et al. http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sattar, Yasar
Connerney, Michael
Ullah, Waqas
Rauf, Hiba
Mamtani, Sahil
Luddington, Stephen
Alraies, M. Chadi
Coronavirus Disease 2019 With Acute Respiratory Distress Syndrome Mimicking Heart Failure Exacerbation: Time to Rethink
title Coronavirus Disease 2019 With Acute Respiratory Distress Syndrome Mimicking Heart Failure Exacerbation: Time to Rethink
title_full Coronavirus Disease 2019 With Acute Respiratory Distress Syndrome Mimicking Heart Failure Exacerbation: Time to Rethink
title_fullStr Coronavirus Disease 2019 With Acute Respiratory Distress Syndrome Mimicking Heart Failure Exacerbation: Time to Rethink
title_full_unstemmed Coronavirus Disease 2019 With Acute Respiratory Distress Syndrome Mimicking Heart Failure Exacerbation: Time to Rethink
title_short Coronavirus Disease 2019 With Acute Respiratory Distress Syndrome Mimicking Heart Failure Exacerbation: Time to Rethink
title_sort coronavirus disease 2019 with acute respiratory distress syndrome mimicking heart failure exacerbation: time to rethink
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7239589/
https://www.ncbi.nlm.nih.gov/pubmed/32494330
http://dx.doi.org/10.14740/cr1074
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